Risk factors for vascular access-related complications in patients undergoing early invasive strategy
| Autor: | Marcos Henriques Bergonso, Luiz Alberto Mattos, Fábio Salerno Rinaldi, Sérgio Kreimer, Amanda G. M. R Sousa, Marden André Tebet, Vinicius Esteves, Caio Fraga Barreto de Matos Ferreira, André Labrunie, Milena Paiva Brasil de Matos, Ederlon Ferreira Nogueira, Igor Ribeiro de Castro Bienert, Robson Alves Barbosa, Pedro Beraldo de Andrade |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Percutaneous coronary intervention General Medicine Femoral artery medicine.disease Surgery Hematoma medicine.artery Internal medicine Angioplasty medicine Cardiology Vascular closure device Artery occlusion Radial artery business Stroke |
| Zdroj: | Revista Brasileira de Cardiologia Invasiva (English Edition). 23(4):242-246 |
| ISSN: | 2214-1235 |
| DOI: | 10.1016/j.rbciev.2017.02.006 |
| Popis: | Background The knowledge of risk factors related to vascular access complications in patients undergoing early invasive strategy allows the adoption of methods to minimize them. Methods We performed a subanalysis of the ARISE study, aiming to identify predictors of vascular complications in patients randomized to the radial or femoral techniques with the use of vascular closure device (VCD). Results A total of 240 patients with a mean age of 63.0 ± 10.7 years were included, with 30.8% of diabetics. Except for a higher prevalence of women in the radial group, there were no clinical differences between the groups. Percutaneous coronary intervention was performed in 86.7% of the cases. The rate of vascular complications after 30 days was 13.3% in the radial group, due to hematoma > 5 cm (6.7%) and asymptomatic artery occlusion (5.8%), and 12.5% in femoral group, due to hematoma > 5 cm, without significant difference. The following were identified as risk factors for vascular access complications: body mass index (BMI), previous stroke, longer duration of the procedure, and VCD failure. At the stratified analysis, female gender and high or very high-risk CRUSADE score were predictors of complications only for the femoral group. In the multivariate model, the factors that remained significant were BMI and VCD failure. Conclusions The radial and femoral techniques, with the use of VCD, shared variables that were predictors of complications. Risk factors, such as female gender and high-risk CRUSADE score, were attenuated by the use of the radial technique. |
| Databáze: | OpenAIRE |
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